| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $105.47 | $125.47 | $161.41 | |
Cigna
| Professional | $58.90 | $149.76 | $209.47 | |
Medica
| Professional | $120.72 | $160.96 | $1,004.88 | |
United
| Professional | $114.80 | $145.91 | $244.66 |